Active NPI
Plantsville Pharmacy Inc
- Community/Retail Pharmacy
- Plantsville, CT
National Provider Identifier
1811933617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000378
- Legal business name
- PLANTSVILLE PHARMACY INC
- Practice address
- 1 W Main St
Plantsville, CT 06479-1522 - Phone
- (860) 628-2385
- Fax
- (860) 628-2475
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Potrepka, BS RPH
- Title
- President / MGR/ Pharmacist/ Owner
- Phone
- (860) 628-2385
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000378 | CT | Primary |
Addresses
Primary practice location
1 W Main St
Plantsville, CT 06479-1522
Mailing address
1 W Main St
Plantsville, CT 06479-1522
Phone (860) 628-2385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1998099 | Other | PK | |
| 4027918 | Medicaid | CT |
Other names 1
- PLANTSVILLE PHARMACY INC.
National Provider Directory
National Provider DirectoryLocations
1 W Main St
Plantsville, CT 06479
Phone (860) 628-2382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1811933617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W MAIN ST",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791522",
"telephone_number": "860-628-2385",
"fax_number": "860-628-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W MAIN ST",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791522",
"telephone_number": "860-628-2385",
"fax_number": "860-628-2475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANTSVILLE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "POTREPKA",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT / MGR/ PHARMACIST/ OWNER",
"authorized_official_telephone_number": "860-628-2385",
"authorized_official_credential": "BS RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CT",
"license": "0000378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1998099",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4027918",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PLANTSVILLE PHARMACY INC.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PLANTSVILLE PHARMACY INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.